Provider Demographics
NPI:1932072899
Name:HIGGINS, JOSEPH (RD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 SPRING RUN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1150
Mailing Address - Country:US
Mailing Address - Phone:502-552-4934
Mailing Address - Fax:
Practice Address - Street 1:1233 SPRING RUN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1150
Practice Address - Country:US
Practice Address - Phone:502-552-4934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY300886133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered